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MRS. DENISE COLETTE JEROME P.T.

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1700961851

Individual Registrant:
MRS. DENISE COLETTE JEROME P.T.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3677 COLLEGE RD SUITE 12 FAIRBANKS, AK 99709-3712 US
Tel: 907-479-3800  Fax: 907-479-9195

Contact information for business:
680 DALTON TRL  FAIRBANKS, AK 99709-6530 US
Tel: 907-479-3800  Fax: 907-479-9195

Registration Information:
NPI: 1700961851
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
AK1607

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PT1607AK05
NPI # EQUINOX,INC1972643138AK01




HEALTH CARE JOBS AK - Page 1



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